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1.
PLoS One ; 16(3): e0247679, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33711026

RESUMEN

The emergence of Coronavirus disease 2019 (COVID-19) has affected health-care workers' psychological and mental health. Few studies have been conducted examining the psychological effect of COVID-19 on health-care worker psychological health in Jordan. Therefore, the present study aims to assess the respective levels of fear, anxiety, depression, stress, social support, and the associated factors, experienced by Jordanian health-care workers during the COVID-19 Pandemic. This study adopted a cross-sectional, correlational design to collect data from 365 health-care workers in Amman, Jordan, from August 16th to 23rd, 2020. Along with collecting sociodemographic characteristics, the Fear of COVID-19 Scale, the Depression, Anxiety, Stress Scale, and the Multidimensional Scale of Perceived Social Support electronically administered to participants. The majority of the participants (69.3%) were registered nurses. The mean overall score for the Fear of COVID-19 scale was 23.64 (SD + 6.85) which again exceeded the mid-point for the total score range (21), indicating elevated level fear of the COVID-19 pandemic. Participants had displayed extremely severe depression 40%, extremely severe anxiety 60%, and 35% severely distressed. Scores for depression (21.30 ± 10.86), anxiety (20.37 ± 10.80), stress (23.33 ± 10.87) were also high. Factors determined to be associated with psychological distress were being male, married, aged 40 years and older, and having more clinical experience. Assessment of social support indicated moderate-to-high levels of perceived support for all dimensions (significant other: 5.17 ± 1.28, family: 5.03 ± 1.30, friends: 5.05 ± 1.30). Weak significant correlations were found between social support and the other study variables (r < 0.22), indicating a weak association with fear, depression, anxiety, and stress, respectively. Overall, Jordanian health-care workers sample reported fear, depression, anxiety, and stress. The associated factors were being male, married, aged 40 years and older, and having more clinical experience. Regarding social support, participants primarily relied on support from their families, followed by support from friends.


Asunto(s)
Trastornos de Ansiedad/patología , Depresión/patología , Miedo/psicología , Personal de Salud/psicología , Adulto , Trastornos de Ansiedad/epidemiología , /virología , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Jordania/epidemiología , Masculino , Persona de Mediana Edad , Pandemias , Apoyo Social , Estrés Psicológico , Encuestas y Cuestionarios
2.
JAMA Netw Open ; 4(3): e210684, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33704475

RESUMEN

Importance: Latinx individuals, particularly immigrants, are at higher risk than non-Latinx White individuals of contracting and dying from coronavirus disease 2019 (COVID-19). Little is known about Latinx experiences with COVID-19 infection and treatment. Objective: To describe the experiences of Latinx individuals who were hospitalized with and survived COVID-19. Design, Setting, and Participants: The qualitative study used semistructured phone interviews of 60 Latinx adults who survived a COVID-19 hospitalization in public hospitals in San Francisco, California, and Denver, Colorado, from March 2020 to July 2020. Transcripts were analyzed using qualitative thematic analysis. Data analysis was conducted from May 2020 to September 2020. Main Outcomes and Measures: Themes and subthemes that reflected patient experiences. Results: Sixty people (24 women and 36 men; mean [SD] age, 48 [12] years) participated. All lived in low-income areas, 47 participants (78%) had more than 4 people in the home, and most (44 participants [73%]) were essential workers. Four participants (9%) could work from home, 12 (20%) had paid sick leave, and 21 (35%) lost their job because of COVID-19. We identified 5 themes (and subthemes) with public health and clinical care implications: COVID-19 was a distant and secondary threat (invincibility, misinformation and disbelief, ingrained social norms); COVID-19 was a compounder of disadvantage (fear of unemployment and eviction, lack of safeguards for undocumented immigrants, inability to protect self from COVID-19, and high-density housing); reluctance to seek medical care (worry about health care costs, concerned about ability to access care if uninsured or undocumented, undocumented immigrants fear deportation); health care system interactions (social isolation and change in hospital procedures, appreciation for clinicians and language access, and discharge with insufficient resources or clinical information); and faith and community resiliency (spirituality, Latinx COVID-19 advocates). Conclusions and Relevance: In interviews, Latinx patients with COVID-19 who survived hospitalization described initial disease misinformation and economic and immigration fears as having driven exposure and delays in presentation. To confront COVID-19 as a compounder of social disadvantage, public health authorities should mitigate COVID-19-related misinformation, immigration fears, and challenges to health care access, as well as create policies that provide work protection and address economic disadvantages.


Asunto(s)
/etnología , Emigración e Inmigración , Empleo , Miedo , Conducta de Búsqueda de Ayuda , Hispanoamericanos , Hospitalización , Salud Pública , Adulto , California , Colorado , Comunicación , Estatus Económico , Femenino , Gastos en Salud , Humanos , Masculino , Persona de Mediana Edad , Áreas de Pobreza , Investigación Cualitativa , Ausencia por Enfermedad , Clase Social , Normas Sociales , Inmigrantes Indocumentados
3.
Invest Educ Enferm ; 39(1)2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33687809

RESUMEN

OBJECTIVES: The study sought to correlate fear, stress, knowledge regarding COVID-19 in Nursing students and recent graduates in Mexico. METHODS: Correlational design, sample comprising 912 nursing students and graduates during the last 18 months from public and private universities of Mexico. To measure the variables, the study applied the instrument Fear of COVID-19 Scale, knowledge subscale of the scale Knowledge, attitudes, and practices towards COVID-19, and the instrument COVID Stress Scale. RESULTS: Relationship was found of the age variable with fear, danger of contamination, traumatic stress, knowledge and minor socioeconomic consequences (p<0.05). Likewise, relationship was observed of fear with stress regarding COVID-19, danger of contamination, socioeconomic consequences, xenophobia, traumatic stress, and compulsive checking (p<0.05). Stress and knowledge explain the presence of fear regarding COVID-19 in 50.3%, and fear and knowledge explain stress regarding COVID-19 in 50.4%. CONCLUSIONS: Nursing students and recent graduates have high levels of stress and fear, besides low level of knowledge. The presence of high stress and low knowledge predict fear regarding COVID-19. Interventions are required on knowledge, stress, and fear regarding COVID-19 in the population studied.


Asunto(s)
Miedo/psicología , Conocimientos, Actitudes y Práctica en Salud , Estrés Psicológico/epidemiología , Estudiantes de Enfermería/psicología , Adolescente , Factores de Edad , Estudios Transversales , Femenino , Humanos , Masculino , México , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/estadística & datos numéricos , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
4.
Cien Saude Colet ; 26(3): 1013-1022, 2021 Mar.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33729355

RESUMEN

The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.


Asunto(s)
/epidemiología , Prestación de Atención de Salud , Personal de Salud , Pandemias , Actitud Frente a la Muerte , Brasil/epidemiología , /transmisión , Prestación de Atención de Salud/economía , Prestación de Atención de Salud/normas , Prestación de Atención de Salud/tendencias , Familia , Miedo , Femenino , Personal de Salud/economía , Personal de Salud/psicología , Humanos , Programas Nacionales de Salud , Equipo de Protección Personal/provisión & distribución , Salarios y Beneficios/tendencias , Factores Sexuales , Factores Sociológicos , Lugar de Trabajo/psicología , Lugar de Trabajo/normas
6.
J Pediatr Nurs ; 57: e52-e58, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33750569

RESUMEN

PURPOSE: Epilepsy affects both children and their parents, as it is a chronic disease with recurrent seizures. Parents play a key role in acceptance of the diagnosis of epilepsy by the child and compliance of the child with its treatment. Therefore, the perceptions and experiences of parents about this process are critical. The Epilepsy-Related Fears in Parents Questionnaire is one such instrument, and it has been used to measure the epilepsy-related fear experienced by parents who had children with epilepsy in Germany. This study aimed to analyze the psychometric properties of the Epilepsy-Related Fears in the Parents Questionnaire in Turkey. DESIGN AND METHODS: The study was conducted on 403 parents using a descriptive correlational method. The Sociodemographic Information Form and Epilepsy-Related Fears in Parents Questionnaire were used to gather data. Data analysis and evaluation were performed using factor analysis, Cronbach's alpha, and item-total score correlation. RESULTS: Seventeen items were recorded on the main scale and other items on two subscales. The two subscales recorded a variance of 55.695%. Turkish Cronbach's alpha coefficient recorded a total of 0.929. Because of confirmatory factor analysis, the model fit index results were recorded as follows: 0.94 as the Goodness-of-Fit Index and 0.92 as the Comparative Fit Index. CONCLUSIONS: The study determined that the Turkish version of the Epilepsy-Related Fears in Parents Questionnaire was a valid and reliable measurement tool. PRACTICE IMPLICATIONS: All health professionals can use this scale to evaluate fears of parents who have children diagnosed with epilepsy.


Asunto(s)
Epilepsia/psicología , Miedo , Padres/psicología , Psicometría/estadística & datos numéricos , Encuestas y Cuestionarios/normas , Adulto , Niño , Epilepsia/diagnóstico , Alemania , Humanos , Reproducibilidad de los Resultados , Turquia
7.
Rev Med Suisse ; 17(728): 455-457, 2021 Mar 03.
Artículo en Francés | MEDLINE | ID: mdl-33656299

RESUMEN

Death anxiety is a frequent symptom in patients in the palliative phase of their disease, yet it is rarely explored. Several obstacles are responsible for this undervaluation including some on the medical side. For example: the fear of hurting the patient's feelings, one's own representations and projections onto patients. The lack of exploration and consequently the lack of support can have a dramatic impact on patients' quality of life. So, as to do the right thing, how should one act? This paper will, based on the literature and experience, explore some of the different avenues to help primary care physicians overcome this taboo.


Asunto(s)
Calidad de Vida , Tabú , Ansiedad , Miedo , Humanos , Cuidados Paliativos
8.
BMC Med Educ ; 21(1): 138, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33648516

RESUMEN

BACKGROUND: The question to involve or restrict medical students' involvement in the coronavirus disease 2019 (COVID-19) pandemic response remains contentious. As their state of preparation and perceptions in volunteering during this pandemic have yet to be investigated, this study aims to evaluate Indonesian medical students' willingness to volunteer and readiness to practice during the COVID-19 pandemic. METHODS: A web-based survey was conducted among undergraduate medical students throughout Indonesia. Socio-demographic and social interaction information, in addition to willingness to volunteer and readiness to practice, were obtained using a self-reported questionnaire. The significance level was set at 5%. RESULTS: Among 4870 participants, 2374 (48.7%) expressed their willingness to volunteer, while only 906 (18.6%) had adequate readiness to practice. Male students, students with prior volunteering experience in health or non-health sectors, and students from public universities or living in Central Indonesia (vs Java) had higher scores of willingness and readiness to volunteer. Students from Sumatra also had better preparedness (odds ratio [OR] 1.56, 95% confidence interval [CI] 1.15-2.12, p = 0.004), while the opposite occurred for students from Eastern Indonesia (OR 0.63, 95% CI: 0.44-0.89, p = 0.002)-when compared to students from Java. In addition, compared to students with high family income, students from lower-middle income families were less willing to volunteer (OR 0.76, 95% CI: 0.59-0.98, p = 0.034), though those with low family income had better readiness (OR 1.51, 95% CI: 1.10-2.08, p = 0.011). Shortage of medical personnel, sense of duty, and solicitation by stakeholders were the main reasons increasing the students' willingness to volunteer; whereas contrarily fear for own's health, absence of a cure, and fear of harming patients were the primary factors diminishing their willingness to volunteer. CONCLUSION: Our findings indicated that many Indonesian medical students are willing to volunteer, yet only few of them were ready to practice, indicating that further preparations are required to maximize their potentials and minimize their exposure to hazards. We suggest that their potentials as a firm support system during the pandemic should not be overlooked, and that the integration of relevant courses to the medical curricula are imperative to prepare for future public health emergencies.


Asunto(s)
/epidemiología , Competencia Clínica , Educación de Pregrado en Medicina , Motivación , Estudiantes de Medicina/psicología , Voluntarios , Curriculum , Miedo , Femenino , Humanos , Renta , Indonesia , Masculino , Pandemias , Características de la Residencia , Autoinforme , Factores Sexuales , Adulto Joven
9.
Artículo en Inglés | MEDLINE | ID: mdl-33670639

RESUMEN

The majority of research on the fear of missing out (FOMO) has focused on understanding how social media posts about attractive unattended experiences taking place in the physical world (e.g., a friend's vacation) influence individuals' affective states. With quarantine measures in place, and in the absence of travel and party photos on social media, do individuals feel they are missing out on enjoyable experiences? The current work shows that FOMO has not disappeared during the pandemic, even when socially distancing at home, but has been replaced by feelings towards new online activities (e.g., online concerts, virtual gatherings). As a consequence, we find that FOMO threatens well-being by causing important psychological and health issues, such as sleep deprivation, loss of focus, declined productivity, and finding relief in knowing that others have difficulty keeping up with abundant digital content. Importantly, we find these consequential effects both during the initial (May 2020) and late stages (December 2020) of the pandemic. With excessive Internet use and virtual FOMO likely to be a continuing reality of life, questions remain as to how one can refrain from its negative effects and stay healthy during the pandemic and in the post-pandemic era. We discuss remedies and suggest new research avenues that may help elevate the negative consequences of FOMO on well-being.


Asunto(s)
Medios de Comunicación Sociales , Participación Social/psicología , Estudiantes/psicología , Universidades , Miedo , Humanos
10.
Artículo en Inglés | MEDLINE | ID: mdl-33673155

RESUMEN

In adults, higher anxiety level related to COVID-19 has been associated with having a pre-existing medical or mental health condition and poor sleep quality. However, no study yet has looked at these links in children. The present study's main aim was to assess family changes associated with child and parent fears and concerns about COVID-19. We conducted a cross-sectional study among 144 families with children aged 9-12 years during the COVID-19 lockdown period. Families came from Quebec, Canada, and the survey was done in the early stages of the lockdown (April-May 2020). A phone-based survey assessed parent and child COVID-19-related fears and concerns, family-related changes and health issues. Results showed the more fears parents have about COVID-19, the more fears their child also has. Moreover, changes in family sleep habits were associated with parental and child fears and concerns about COVID-19. Reduced access to health services was associated with parental concerns about COVID-19. If another lockdown was to be put in place in the future, it would be important to inform families on the importance of sleep schedules and to maintain or increase health appointments when possible.


Asunto(s)
/psicología , Miedo , Relaciones Padres-Hijo , Adulto , Ansiedad , Niño , Control de Enfermedades Transmisibles , Estudios Transversales , Humanos , Quebec , Sueño
12.
Front Public Health ; 9: 587439, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33659231

RESUMEN

People have felt afraid during the outbreak of coronavirus disease 2019 (COVID-19), because a virus is an invisible enemy. During the pandemic outbreak, society has become worried about the spread of infections and the shortage of protective equipment. This common fear among the public subsequently deepens each person's fear, increasing their belief in the content reported by the media and thus actively compelling these individuals to engage in the behavior of panic buying. In this study, we explored the effects of the public's risk perception, state anxiety, and trust in social media on the herding effect among individuals. The study was based on an online questionnaire survey and convenience sampling. The results showed that the public's risk perception increased their state anxiety and then deepened their willingness to wait in line for a purchase. In addition, the more people that trust the message delivered by the media, the more actively they will join the queue to buy goods. This study also found that anxiety had a greater impact on the public's willingness to wait for a purchase than trust in social media. Therefore, the top priority for the government should be to reduce the public's state anxiety and then reduce the herding effect.


Asunto(s)
Trastornos de Ansiedad/epidemiología , Brotes de Enfermedades , Miedo , Estrés Psicológico , Estudiantes/psicología , Confianza , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Factores de Riesgo , Encuestas y Cuestionarios , Taiwán/epidemiología , Adulto Joven
13.
Dan Med J ; 68(3)2021 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-33660610

RESUMEN

INTRODUCTION: The aim of this study was to explore changes in medical therapy and document the level of COVID-19-specific worries in patients with inflammatory bowel disease (IBD) during the COVID-19 epidemic in Denmark. METHODS: A cross-sectional survey including 619 IBD patients was conducted. Patients answered questionnaires regarding IBD, IBD medicine, sociodemographic information, mental health, and COVID-19-specific worries (response rate = 64.6%). RESULTS: In total, 14.3% of patients using IBD medication had paused or stopped their IBD treatment during the initial phase of the COVID-19 epidemic, the majority (61.4%) either due to remission or because of side-effects. Only five patients stated that COVID-19 contributed to their decision. The majority of patients (70.5%) expressed worries about an increased risk of infection with coronavirus-2 and worries that their IBD and/or IBD treatment might result in severe COVID-19. Women, patients taking immunomodulators and patients who considered their IBD to be severe were significantly more worried than the remaining population. Age, type of IBD, co-morbidity, level of education, work capacity and mental health were not associated with an increased level of COVID-19-specific worries. CONCLUSIONS: In this selected IBD population, medical IBD treatment was rarely stopped or paused during the initial phase of the COVID-19 epidemic even though 70% of the respondents expressed COVID-19-specific worries. These worries should, nevertheless, be addressed and the characteristics of the population who expressed concerns may be used in future targeted information to secure compliance. FUNDING: none. TRIAL REGISTRATION: not relevant.


Asunto(s)
Ansiedad , Miedo , Enfermedades Inflamatorias del Intestino/psicología , Salud Mental , Adulto , Estudios Transversales , Dinamarca , Femenino , Conductas Relacionadas con la Salud , Humanos , Factores Inmunológicos/uso terapéutico , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Factores Socioeconómicos , Encuestas y Cuestionarios
14.
Neuron ; 109(5): 746-747, 2021 03 03.
Artículo en Inglés | MEDLINE | ID: mdl-33662269

RESUMEN

The circuit that links stress and fear to feeding behavior is poorly understood. In this issue of Neuron, Yang et al. detail a trisynaptic, cannabinoid-dependent circuit that underlies appetite suppression in response to a fearful stimulus and provide evidence of noradrenaline and glutamate co-transmission in locus coeruleus.


Asunto(s)
Apetito , Locus Coeruleus , Miedo , Neuronas , Norepinefrina
15.
Artículo en Inglés | MEDLINE | ID: mdl-33668655

RESUMEN

The COVID-19 virus has become a fearful epidemic for people all over the world. In Turkey, long quarantine periods and curfews have increased both physical and psychological problems. Due to the rapid spread and substantial impact of the COVID-19 virus, different psychological effects were observed among different segments of society, such as among young people, elderly people, and active workers. Because of fear caused by the COVID-19 virus, it is thought that depression, stress, and anxiety levels have increased. It is estimated that there are more psychological issues for people with poor health and others whose friends or family became ill or have died because of COVID-19. To explore and test the situation mentioned above, we conducted a cross-sectional study in Turkey with 3287 participants above 16 years old. We measured COVID-19 fear, along with anxiety, stress, and depression levels (DASS21) and demographics. Firstly, we tested whether COVID-19 fear predicts stress, anxiety, and depression. Secondly, we investigated if the effect of COVID-19 fear is stronger for those who have underlying illness and for those whose friends or family became ill or have died because of COVID-19. The results showed that women and 16-25 years old youths have higher COVID-19-related fear, anxiety, depression, and stress. Furthermore, we found a significant relationship between COVID-19 fear and stress, anxiety, and depression, as well as significant moderation effects of having an underlying illness and having friends or family who were infected or have died. These results show the importance of implementing specific implementations, particularly for vulnerable groups, to minimize the psychological problems that may arise with the pandemic.


Asunto(s)
/psicología , Miedo , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/epidemiología , Estudios Transversales , Depresión/epidemiología , Familia , Femenino , Amigos , Humanos , Masculino , Persona de Mediana Edad , Estrés Psicológico/epidemiología , Turquia/epidemiología , Adulto Joven
16.
Artículo en Inglés | MEDLINE | ID: mdl-33669357

RESUMEN

Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95% CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95% CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95% CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.


Asunto(s)
Accidentes por Caídas/prevención & control , Terapia por Ejercicio , Sedestación , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Miedo , Femenino , Fuerza de la Mano , Humanos , Masculino , Calidad de Vida
17.
PLoS One ; 16(3): e0247904, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33661955

RESUMEN

The COVID-19 pandemic has been followed intensely by the global news media, with deaths and bereavement a major focus. The media reflect and reinforce cultural conventions and sense-making, offering a lens which shapes personal experiences and attitudes. How COVID-19 bereavement is reported therefore has important societal implications. We aimed to explore the reportage and portrayal of COVID-19 related bereavement in the top seven most-read British online newspapers during two week-long periods in March and April 2020. We conducted a qualitative document analysis of all articles that described grief or bereavement after a death from COVID-19. Analysis of 55 articles was informed by critical discourse analysis and Terror Management Theory, which describes a psychological conflict arising between the realisation that death is inevitable and largely unpredictable and the human need for self-preservation. We identified three main narratives: (1) fear of an uncontrollable, unknown new virus and its uncertain consequences-associated with sensationalist language and a sense of helplessness and confusion; (2) managing uncertainty and fear via prediction of the future and calls for behaviour change, associated with use of war metaphors; and (3) mourning and loss narratives that paid respect to the deceased and gave voice to grief, associated with euphemistic or glorifying language ('passed away', 'heroes'). Accounts of death and grief were largely homogenous, with bereavement due to COVID-19 presented as a series of tragedies, and there was limited practical advice about what to do if a loved one became seriously ill or died. Reporting reflected the tension between focusing on existential threat and the need to retreat from or attempt to control that threat. While the impact of this reporting on the public is unknown, a more nuanced approach is recommended to better support those bereaved by COVID-19.


Asunto(s)
Aflicción , /epidemiología , Miedo , Humanos , Periódicos como Asunto , Pandemias , Reino Unido/epidemiología
18.
Br J Nurs ; 30(6): 374-376, 2021 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-33769872

RESUMEN

University of Southampton, discusses strategies to enhance vaccination uptake among certain groups in society who are influenced by anti-vaxxers.


Asunto(s)
Movimiento Anti-Vacunación , Comunicación , /epidemiología , /efectos adversos , Miedo , Humanos , Medios de Comunicación Sociales , Reino Unido/epidemiología , Vacunación/psicología
19.
Ther Umsch ; 78(3): 136-144, 2021 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-33775135

RESUMEN

Outpatient breast cancer treatment after the hospital: what's next? - Adjuvant medical therapies, management of side effects and common fears, planing and coordination of optimal follow-up care in view of current guidelines Abstract. Following successful breast cancer surgery patients will generally be facing a certain prolonged period of medical treatment accompanied by several years of follow-up care, usually in the setting of a private practice or outpatient clinic. These medical treatments, which have proven by evidence to substantially reduce the risk of breast cancer recurrence and thereby significantly added to the boost in overall prognosis of this disease, are discussed in the light of current international treatment guidelines in this article. The standard approach to modern medical therapies is outlined on the basis of clinical pathological risk factors and tumor biology for different breast cancer subtypes (e. g. luminal, HER2-positiv, triple negativ / basal-like) accordingly. We hereby focus particularly upon the management of therapy-induced side effects, typical substance-specific toxicities as well as offering remedy to common fears and myths concerning medical breast cancer treatment. Last but not least we describe our perspective of the "ideal outpatient follow-up care", outlining a time-plan, implementing interdisciplinary expertise and stressing the necessity for good teamwork and interaction among all health care specialists involved, to optimise patient comfort and outcome.


Asunto(s)
Neoplasias de la Mama , Cuidados Posteriores , Neoplasias de la Mama/tratamiento farmacológico , Miedo , Hospitales , Humanos , Recurrencia Local de Neoplasia/terapia , Pacientes Ambulatorios
20.
Medicine (Baltimore) ; 100(10): e23571, 2021 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-33725809

RESUMEN

ABSTRACT: This study investigated the epidemiological status of depression and its influencing factors among caregivers of children with epilepsy in southwestern China.This was a cross-sectional study. Caregivers of children with epilepsy were recruited from February to June 2018 at the Pediatric Neurology Department of the West China Second Hospital. Depression status was assessed using the Zung Self-Rating Depression Scale. Multiple linear regression analysis was used to assess correlations between depression status and its influencing factors.A total of 319 participants were included. The mean Zung Self-Rating Depression Scale score was 36.37 ±â€Š10.178 and 5.3% (17/319) of participants were classified as depressed. Regression analysis showed that place of residence (B = 0.114; standard error = 0.643; P = .039), attitude towards seizures (B = -0.121; standard error = 1.215; P = .029), medical expenses payment (B = -0.111; standard error = 2.002; P = .044), and children's medication adherence (B = -0.124; standard error = 0.393; P = .025) were related to depression.Some caregivers of children with epilepsy in southwestern China experience depression. Health care providers should pay particular attention to caregivers who live in rural areas, who fear seizures, who experience difficulty paying medical expenses, and whose children show low medication adherence.


Asunto(s)
Cuidadores/estadística & datos numéricos , Depresión/epidemiología , Epilepsia/terapia , Adolescente , Adulto , Anticonvulsivantes/uso terapéutico , Cuidadores/psicología , Niño , China/epidemiología , Estudios Transversales , Depresión/diagnóstico , Depresión/psicología , Epilepsia/psicología , Miedo/psicología , Femenino , Humanos , Masculino , Cumplimiento de la Medicación/estadística & datos numéricos , Prevalencia , Factores de Riesgo , Población Rural/estadística & datos numéricos , Autoinforme/estadística & datos numéricos
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